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Midterm Clinical and Radiographic Results of Mobile-Bearing Revision Total Knee Arthroplasty
- Source :
- The Journal of arthroplasty. 32(6)
- Publication Year :
- 2016
-
Abstract
- Constrained implants are frequently required in revision total knee arthroplasty (TKA) and are associated with an increase in aseptic component loosening and damage or wear to the constraining mechanisms, compared with primary TKA. The purpose of the following study was to evaluate the midterm clinical and radiographic results including the incidence of bearing complications in a group of patients undergoing revision TKA using mobile-bearing revision TKA implants.We retrospectively reviewed 316 consecutive mobile-bearing revision TKAs performed at 2 centers between 2006 and 2010. There were 183 women and 133 men with a mean age of 66 years. The patients were evaluated clinically using the Knee Society scores. A radiographic analysis was performed. Bearing specific complications (ie, instability or dislocation) were recorded.Patients were followed-up for a minimum of 24 months and a median of 59.88 months (range 24-121.2). The average Knee Society knee score and function scores increased from 40.8 and 47.9 points preoperatively to 80 points and 70.3 points, respectively (P.01). The average knee flexion improved from 105.6° preoperatively to 117.4° postoperatively (P.01). Eight patients required subsequent implant revision. No cases of bearing complications were observed.Revision TKA using mobile-bearing revision components demonstrated favorable midterm clinical and radiographic results with no occurrence of bearing instability or dislocation. Longer follow-up is required to evaluate for potential advantages of mobile-bearings over fixed-bearing revision components in terms of polyethylene wear reduction, reduced stress transmission across fixation interfaces, and reduced stress on the polyethylene post.
- Subjects :
- musculoskeletal diseases
Adult
Male
Reoperation
medicine.medical_specialty
Knee Joint
Radiography
medicine.medical_treatment
Prosthesis Design
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Arthroplasty, Replacement, Knee
Reduction (orthopedic surgery)
Fixation (histology)
Aged
Retrospective Studies
Aged, 80 and over
030222 orthopedics
business.industry
Incidence
Mean age
Middle Aged
United States
Surgery
Knee score
Polyethylene
Component loosening
Female
Mobile bearing
business
Knee Prosthesis
Revision total knee arthroplasty
Follow-Up Studies
Subjects
Details
- ISSN :
- 15328406
- Volume :
- 32
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- The Journal of arthroplasty
- Accession number :
- edsair.doi.dedup.....d47080facf5e31c920d2d7c300c82d34